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      Association between smartphone overdependency and mental health in Korean adolescents during the COVID pandemic; Age-and gender-matched study

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          Abstract

          Purpose

          This study aimed to examine the relationship between smartphone dependency (SD) and mental health (MH) in adolescents in order to develop and implement plans pertaining to SD control.

          Methods

          Raw data from the 16th Online Adolescent Health Behavior Survey in 2020 were analyzed. A total of 482 respondents were selected as study subjects based on their experience of smartphone overdependence (SO), specifically, 241 participants whose score for SO was 37 or higher (Group 2) and age- and gender-matched 241 participants whose score was lower than 10 (Group 1).

          Results

          Frequency analysis, cross-tab analysis (χ 2 test), and multinomial logistic regression were performed Analysis shows that the MH affecting the increase in SO is the subjective perception of happiness, subjective perception of stress, sadness and despair, and experience of Loneliness. But, the variable affecting the reduction is the subjective evaluation of sleep quality. The likelihood of SO increased as adolescents felt unhappier [Exp ( β) = 2.408] and more stressed [Exp ( β) = 4.453] and more often felt lonely [Exp ( β) = 8.149], but the likelihood decreased as they had neither sufficient nor insufficient sleep duration [Exp ( β) = 0.344]. The findings suggest that it is necessary to develop aggressive measures for the prevention and management of MH in adolescents showing SO because mental health is closely linked to SD. In developing the measures, realistic approaches to widely pervasive SO among adolescents should be explored by taking into account MH factors, that is, predictors of SO, and the characteristics of youths, such that they can self-control smartphone use and form desirable life habits.

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          Most cited references35

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          Relationship of Smartphone Use Severity with Sleep Quality, Depression, and Anxiety in University Students

          Background and Aims The usage of smartphones has increased rapidly in recent years, and this has brought about addiction. The aim of the current study was to investigate the relationship between smartphone use severity and sleep quality, depression, and anxiety in university students. Methods In total, 319 university students (203 females and 116 males; mean age = 20.5 ± 2.45) were included in the study. Participants were divided into the following three groups: a smartphone non-user group (n = 71, 22.3%), a low smartphone use group (n = 121, 37.9%), and a high smartphone use group (n = 127, 39.8%). All participants were evaluated using the Pittsburgh Sleep Quality Index, Beck Depression Inventory, Beck Anxiety Inventory; moreover, participants other than those in the smartphone non-user group were also assessed with the Smartphone Addiction Scale. Results The findings revealed that the Smartphone Addiction Scale scores of females were significantly higher than those of males. Depression, anxiety, and daytime dysfunction scores were higher in the high smartphone use group than in the low smartphone use group. Positive correlations were found between the Smartphone Addiction Scale scores and depression levels, anxiety levels, and some sleep quality scores. Conclusion The results indicate that depression, anxiety, and sleep quality may be associated with smartphone overuse. Such overuse may lead to depression and/or anxiety, which can in turn result in sleep problems. University students with high depression and anxiety scores should be carefully monitored for smartphone addiction.
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            Exposure and Use of Mobile Media Devices by Young Children.

            Research on children's use of mobile media devices lags behind its adoption. The objective of this study was to examine young children's exposure to and use of mobile media devices.
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              Gender differences in factors associated with smartphone addiction: a cross-sectional study among medical college students

              Background Smartphones are becoming increasingly indispensable in everyday life for most undergraduates in China, and this has been associated with problematic use or addiction. The aim of the current study was to investigate the prevalence of smartphone addiction and the associated factors in male and female undergraduates. Methods This cross-sectional study was conducted in 2016 and included 1441 undergraduate students at Wannan Medical College, China. The Smartphone Addiction Scale short version (SAS-SV) was used to assess smartphone addiction among the students, using accepted cut-offs. Participants’ demographic, smartphone usage, and psycho-behavioral data were collected. Multivariate logistic regression models were used to seek associations between smartphone addiction and independent variables among the males and females, separately. Results The prevalence of smartphone addiction among participants was 29.8% (30.3% in males and 29.3% in females). Factors associated with smartphone addiction in male students were use of game apps, anxiety, and poor sleep quality. Significant factors for female undergraduates were use of multimedia applications, use of social networking services, depression, anxiety, and poor sleep quality. Conclusions Smartphone addiction was common among the medical college students investigated. This study identified associations between smartphone usage, psycho-behavioral factors, and smartphone addiction, and the associations differed between males and females. These results suggest the need for interventions to reduce smartphone addiction among undergraduate students.
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                Author and article information

                Contributors
                Journal
                Front Public Health
                Front Public Health
                Front. Public Health
                Frontiers in Public Health
                Frontiers Media S.A.
                2296-2565
                21 December 2022
                2022
                21 December 2022
                : 10
                : 1056693
                Affiliations
                [1] 1Department of Taekwondo, Kyung Hee University , Yongin-si, South Korea
                [2] 2College of Sport Science, Sungkyunkwan University , Suwon-si, South Korea
                [3] 3School of Global Sport Studies, Korea University , Sejong-si, South Korea
                [4] 4Sports Science Research Center, Kyung Hee University , Yongin-si, South Korea
                [5] 5Department of Physical Education, Kyung Hee University , Yongin-si, South Korea
                Author notes

                Edited by: Kristiana Siste, University of Indonesia, Indonesia

                Reviewed by: Chiara Oldani, University of Tuscia, Italy; Nicholas Hardi, Atma Jaya Catholic University of Indonesia, Indonesia

                *Correspondence: Jung-Min Lee jungminlee@ 123456khu.ac.kr

                This article was submitted to Public Health Education and Promotion, a section of the journal Frontiers in Public Health

                Article
                10.3389/fpubh.2022.1056693
                9810752
                36620253
                3bd4f18b-a92d-47a6-83e4-961b5947d629
                Copyright © 2022 Kim, Lee, Yang and Lee.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 29 September 2022
                : 07 November 2022
                Page count
                Figures: 1, Tables: 3, Equations: 0, References: 38, Pages: 9, Words: 5868
                Funding
                Funded by: Kyung Hee University, doi 10.13039/501100002597;
                Categories
                Public Health
                Original Research

                adolescent,smartphone dependency,subjective health status,stress,happiness

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